National Provider Identifier Database

PEDIATRIC INFECTIOUS DISEASE DEPARTMENT OF UNIVERSITY OF UTAH
Pediatric Infectious Diseases

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.


Contact Information

PEDIATRIC INFECTIOUS DISEASE DEPARTMENT OF UNIVERSITY OF UTAH
100 N MEDICAL DR
SALT LAKE CITY, UT84113-1103
Phone: 801-588-2000
Fax: 801-587-7417
Website:
Specialty Taxonomy Code
* Pediatric Infectious Diseases 2080P0208X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC INFECTIOUS DISEASE DEPARTMENT OF UNIVERSITY OF UTAH

NPI Number 1841397908
Legal business name
LBN
PEDIATRIC INFECTIOUS DISEASE DEPARTMENT OF UNIVERSITY OF UTAH
Authorized official EDWARD CLARK - (DEPT CHAIR)
Entity Organization
Organization subpart No
Enumeration date 09/20/2006
Last updated 09/06/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 807147900
  • NV Medicaid: 100507105
  • WY Medicaid: 121443800

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PEDIATRIC INFECTIOUS DISEASE DEPARTMENT OF UNIVERSITY OF UTAH

There are currently no reviews for PEDIATRIC INFECTIOUS DISEASE DEPARTMENT OF UNIVERSITY OF UTAH


NPIdb - Home
v2.201